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15052026_1

&

15052026_2

DONOR 1

Fullname

15052026_1

Country

USA

Address

Eye Color

Blue

Hair Color

Blond

Height

5'3"

Ethnicity

White/Caucasian

Education

Some college

Hobbies

Beauty and hair care, Bicycling, Camping, Collecting things, Cooking, Eating, Fishing, Gardening, Hiking, Keeping pets, Listening to music, Photography, Playing sports, Playing video games, Taking care of animals, Taking care of people, Using a computer, Visiting with friends, Watching TV or movies, Working out/exercising

Anything else would you like to mention about your family medical history to the
Adoptive parent

Anything else would you like to mention about your talents,skills,interests 

DONOR 2

Fullname

15052026_2

Country

USA

Address

Eye Color

Blue

Hair Color

Blond

Height

5'7"

Ethnicity

White/Caucasian

Education

Some college

Hobbies

Beauty and hair care, Being a leader of a group, Belonging to a club, Bicycling, Camping, Cooking, Eating, Fishing, Gardening, Horseback riding, Keeping pets, Motocross, Playing sports, Playing video games, Singing, Taking care of animals, Taking care of people, Using a computer, Visiting with friends

Anything else would you like to mention about your family medical history to the
Adoptive parent

Anything else would you like to mention about your talents,skills,interests 

Colitus (donors' mom)

BASIC INORMATION

Full name

15052026_1

15052026_2

Country

USA

USA

Address

Eye color

Blue

Blue

Hair color

Blond

Blond

Height

5'3"

5'7"

Ethnicity

White/Caucasian

White/Caucasian

Education

Some college

Some college

Hobbies

Beauty and hair care, Bicycling, Camping, Collecting things, Cooking, Eating, Fishing, Gardening, Hiking, Keeping pets, Listening to music, Photography, Playing sports, Playing video games, Taking care of animals, Taking care of people, Using a computer, Visiting with friends, Watching TV or movies, Working out/exercising

Beauty and hair care, Being a leader of a group, Belonging to a club, Bicycling, Camping, Cooking, Eating, Fishing, Gardening, Horseback riding, Keeping pets, Motocross, Playing sports, Playing video games, Singing, Taking care of animals, Taking care of people, Using a computer, Visiting with friends

Anything else would you like to mention about your talents, skills, interests

Anything else would you like to mention about your family medical history to the
adoptive parent

Colitus (donors' mom)

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

3

3AA, 3AA, 3BA

Have the embryos been genetically tested

Do you know the gender of the embryos

Yes

female, male, sex N/A

Have the embryos from this batch resulted in a life birth

Age of embryos when they were frozen

Yes

5-7 days

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 10 years ago

Less than 30 years old

Have the embryos from this batch been already donated to another adoptive parent

No

Embryo

MEDICAL HISTORY

DONOR 1

DONOR 2

Allergy

Donor

Donor

Alzheimer

Anxiety

Donor's parent

Asthma

Autism

Bipolar disorder

Donor's parent

Cancer

Donor's parent

Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Donor's parent

Diabetes

Donor's grandparent

Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor

Hemochromatosis

High blood pressure

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Donor's parent

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Donor's grandparent

Donor

Substance abuse

Donor's parent, Donor's grandparent

Donor's grandparent

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Donor

Alzheimer

Anxiety

Donor's parent

Asthma

Autism

Bipolar disorder

Donor's parent

Cancer

Donor's parent

Celiac disease

Cystic fibrosis

Depression

Donor's parent

Diabetes

Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Donor's parent

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Donor's grandparent

Substance abuse

Donor's parent, Donor's grandparent

DONOR 2

allergy

Donor

alzheimer

anxiety

asthma 

autism

bipolar disoder

cancer

Donor's grandparent

celiac disease

cystic fibrosis

depression

diabetes

Donor's grandparent

epilepsy

fibromyalgia

fragile x syndrome

heart conditions

Donor

hemochromatosis

high blood pressure

huntington's disease

lupus

marfan syndrome

multiple sclerosis

obesity

phenylketonuria

polycystic kidney disease

rheumatoid arthritis

schizophrenia

stroke

Donor

substance abuse

Donor's grandparent

Information on egg/sperm donor

Letter

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